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Individual

TARA HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
500 S. UNIVERSITY AVE., SUITE 505, LITTLE ROCK, AR 72205-5307
(501) 664-4532
(501) 663-4335
Mailing address
500 S. UNIVERSITY AVE., SUITE 505, LITTLE ROCK, AR 72205-5307
(501) 664-4532
(501) 663-4335

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R79471
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
CTP-00210
AR

Other

Enumeration date
04/02/2012
Last updated
05/15/2012
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